Adverse effects of Desmopressin

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The nurse is administering desmopressin (DDAVP) to a pediatric client with diabetes insipidus. The nurse should monitor for which of the following side effects of this medication? A. Hyponatremia B. Hypoglycemia C. Hypertension D. Hyperkalemia

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Step 1

In this pharmacology question, we are asked to identify a side effect of desmopressin when administered to a pediatric client with diabetes insipidus.

Understanding Desmopressin (DDAVP)

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Step 2

Desmopressin is a synthetic form of antidiuretic hormone, or A D H. Its primary function is to help the kidneys reabsorb water back into the bloodstream.

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In diabetes insipidus, the body lacks A D H, leading to excessive urination and dehydration. Desmopressin corrects this by reducing urine output.


Diabetes Insipidus $ ightarrow$ Excess water loss

DDAVP $ ightarrow$ Water retention

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However, if the body retains too much water, it can lead to a condition called water intoxication.

Side Effect Analysis

Over-retention of water...

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Step 5

When excessive water is retained in the vascular space, it dilutes the concentration of electrolytes in the blood, particularly sodium.

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This drop in serum sodium levels is known as hyponatremia. This is a critical side effect to monitor for, as it can lead to seizures or coma, especially in pediatric patients.

$$ \text{High Water Volume} \rightarrow \text{Low Sodium Concentration} (\text{Hyponatremia})$$

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About This Question

Subject
Nursing
Topic
Pharmacology
Difficulty
Medium
Question Type
Multiple Choice

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